Individual provider Active NPI

Douglas Chang, M.D.

  • Neurology Physician
  • Foothill Ranch, CA
National Provider Identifier
1295766889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G63764 Issued in CA
Practice address
26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842
Phone
(949) 600-7887
Fax
(949) 600-7889
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G63764 CA Primary

Addresses

Primary practice location

26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842

Mailing address

26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842
Phone (949) 600-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000587 CA Practitioner - Neurology 7911901491 Practice locations: Foothill Ranch, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Geffen School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842
Phone (949) 600-7887

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63764CAMDNeurology Physician
36764CAMDRegistered Respiratory Therapist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295766889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR",
            "address_2": "SUITE 202",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842",
            "telephone_number": "949-600-7887",
            "fax_number": "949-600-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR",
            "address_2": "SUITE 202",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842",
            "telephone_number": "949-600-7887",
            "fax_number": "949-600-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G63764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

Verify at the official NPI Registry.